CAUSES AND INCIDENCES OF LAPAROSCOPIC CONVERSION OF CHOLECYSTECTOMY IN AL-THAWRA MODERN GENERAL HOSPITAL SANA'A, YEMEN 2022-2023
DOI:
https://doi.org/10.65693/irss.2023.v4i1.325Keywords:
Laparoscopic cholecystectomy, Open cholecystectomy, ConversionsAbstract
Abstract-
Background: Laparoscopic cholecystectomy (LC) is the gold standard approach for the treatment of symptomatic cholelithiasis. Sometimes, the need for laparoscopic conversion to open cholecystectomy (OC) is not a failure of surgery, but it is mandatory to avoid complications.
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Objective: LC has become the gold standard for the surgical treatment of gallbladder (GB) disease, but conversion to OC is still inevitable in certain cases. We decided to review the incidences and causes of conversion from laparoscopic to open cholecystectomy at Al-Thawra Modern General Hospital, Sana'a, Yemen.
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Methods: This study is a retrospectively analyzed hospital-based medical records review of patients who were diagnosed with cholelithiasis and underwent LC in the Department of General Surgery at Al-Thawra Modern General Hospital, Sana'a, Yemen, to determine factors influencing the conversion of laparoscopic to open cholecystectomy. The study period was from March 1, 2022, to February 1, 2023. Patients from all surgical units of the hospital were included. The group consisted of 110 patients, comprising 101 females (91.8%) and 9 males (8.2%), ranging in age from 19 to 62 years old. Patients were qualified for the operation in both scheduled and emergency modes. Conversion was required in 4 patients.
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Results: Adhesions were the commonest cause of conversion, seen in 50% of cases, followed by large stones difficult to extract via laparoscopic hydrops GB at 25%, alongside anatomical distortion of the gallbladder and common bile duct (CBD) injury.
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Conclusion: These risk factors can predict the difficulties of the procedure, allowing surgeons to better inform patients about the risk of conversion from LC.
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